PUBLIC AUCTION 16
12 APRIL ET 13 APRIL 2008
David Delhaye sprl · rue du Midi, 34 · B-1000 Bruxelles · Belgium
E-mail : ddsprl@hotmail.com · T: +32 2 223 36 76 F: +32 2 512 96 56
I undersigned being at least 18 years of age, agree to abide by all previously stated stipulations and to purchase all the lots for which I have made an offer.
Number of customer :
 
 
Philatelic references (new customer) :
 
First name / Last name :
 
Address :
 
 
Tél. :
 
 
Fax :
 
E-mail :
 
 

Amount not to be exceeded :
 

 To send the lots to the above mentioned address
 The take away of the lots in the store
Client's signature :
 
(Mandatory)  
N° LOT OFFRE
Prière d'écrire très lisiblement
   
   
   
   
   
   
   
   
   
   
KAVEL Nr BOD
Gelieve zeer duideluik te schrijven
   
   
   
   
   
   
   
   
   
   
LOT Nr. BID
Please write clearly
   
   
   
   
   
   
   
   
   
   
   I wish to pay by credit card (+2% expenses) :
Number of your credit card :
-
-
-
    Expiry date :
/
Signature :